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1679878235
KELLEY M SANDOVAL
PINEVILLE, LA
NPI
1679878235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA RAC #1340)
Enumeration Date
2011-01-12
Last Update Date
2011-01-12
Business Address
-- KELLEY M SANDOVAL RAC
401 RAINBOW DR UNIT 35
PINEVILLE, LA 71360-6979
Phone number: 318-487-5191
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Mailing Address
-- KELLEY M SANDOVAL RAC
401 RAINBOW DR UNIT 35
PINEVILLE, LA 71360-6979
Phone number: 318-487-5191
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